Adrenal Fatigue Symptoms, Causes and Treatment in New York City

Why Adrenal Fatigue Needs a New Approach

Chronic stress is the silent disruptor behind many modern health challenges—and adrenal fatigue is one of its most overlooked outcomes. At Patients Medical in New York City, we go beyond treating symptoms like fatigue or brain fog. Our integrative model combines conventional diagnostics with holistic and functional medicine to uncover and treat the root causes of adrenal dysfunction.

We don’t just treat your tiredness—we help you reclaim your vitality.

What Is Adrenal Fatigue?

Adrenal fatigue is a condition where prolonged stress overwhelms the adrenal glands, impairing their ability to produce key hormones like cortisol, DHEA, and adrenaline. While not officially recognized in conventional medicine, adrenal fatigue reflects real biochemical imbalances that affect your energy, mood, metabolism, immunity, and sleep.

Common Stages of Adrenal Dysfunction:
  • Stage 1 – Alarm Reaction: High cortisol, wired but tired.
  • Stage 2 – Resistance: Fatigue sets in, cravings and sleep disturbances begin.
  • Stage 3 – Exhaustion: Cortisol plummets, leading to burnout, depression, and poor immunity.

Common Symptoms of Adrenal Fatigue

If you have adrenal fatigue, you may feel like you’re dragging through life despite rest or healthy habits. Symptoms include:

If this sounds familiar, it’s time to evaluate your adrenal health.

Root Causes of Adrenal Fatigue

Adrenal dysfunction doesn’t happen overnight. We explore your full health history and identify hidden contributors such as:

  • Chronic stress (mental, emotional, physical)
  • Blood sugar instability
  • Poor nutrition and micronutrient depletion
  • Leaky gut and inflammation
  • Toxin exposure (mold, heavy metals, endocrine disruptors)
  • Overtraining or under-recovery in athletes
  • Sleep deprivation
  • Unresolved infections (EBV, Lyme, Candida)

We aim to answer not just “what’s wrong?”—but why it happened.

Diagnostic Testing We Use

At Patients Medical, we use cutting-edge diagnostic tools to assess your adrenal function and contributing factors:

Salivary or dried urine cortisol and DHEA testing

24-hour hormone rhythm panels

Thyroid function tests (TSH, T3, T4, rT3)

Nutrient and mineral testing (magnesium, B12, zinc, etc.)

Gut health panels (candida, parasites, microbiome imbalance)

Food sensitivity and inflammation markers

Heavy metals and environmental toxins

Mitochondrial function and oxidative stress panels

Integrative Treatments for Adrenal Fatigue

We design a personalized, non-pharmaceutical ADHD program tailored to your body, brain, and biochemistry.

Personalized Nutrition Plans

We design anti-inflammatory, adrenal-supportive meal plans tailored to your labs and symptoms. Recommendations may include:

  • Blood sugar stabilizing meals
  • Elimination diets to reduce inflammation
  • Whole-food support for mitochondrial energy
  • Hydration + electrolyte protocols

IV Vitamin Therapy

Targeted IV infusions replenish depleted nutrients and support adrenal recovery, including:

  • Vitamin C
  • B-complex
  • Magnesium
  • Glutathione
  • Adaptogenic herbal blends

Adaptogenic Herbs & Nutraceuticals

\We use physician-formulated supplements like:

  • Ashwagandha, Rhodiola, Holy Basil
  • Licorice root (for low cortisol)
  • Phosphatidylserine (for high cortisol)
  • DHEA or pregnenolone (when appropriate)
  • CoQ10, NAD+, L-carnitine for energy support

All regimens are guided by your test results and personalized plan.

Stress Management Therapies

We offer evidence-based approaches to balance your nervous system:

  • Meditation and breathwork training
  • Acupuncture
  • Guided sleep hygiene practices
  • Emotional resilience coaching

Hormonal Rebalancing

If cortisol, DHEA, or thyroid hormones are imbalanced, we may recommend:

  • Bioidentical hormone replacement therapy (BHRT)
  • Thyroid optimization (for T3/T4 support)
  • Menopause and perimenopause support

Gut Repair Protocol

Because stress often damages gut lining and microbiome balance, our plans include:

  • Probiotics and gut-healing nutrients
  • Antimicrobial or antifungal protocols (if needed)
  • Digestive enzyme support

Real Case Study: Emily’s Path from Burnout to Balance

Emily, age 42, came to us with extreme fatigue, daily brain fog, and anxiety. Despite sleeping 9 hours, she woke up exhausted. Her labs revealed low morning cortisol, dysbiosis, and borderline hypothyroidism.

We implemented a 12-week plan including:

  • Salivary hormone rhythm restoration
  • Gut healing + anti-inflammatory nutrition
  • Daily breathwork and adrenal tonics
  • Weekly nutrient IV infusions
  • Low-dose natural thyroid support

Three months later, Emily was energized, clear-minded, and had returned to a fulfilling work-life balance.

Testimonials

Frequently Asked Questions

While not officially recognized by all medical boards, adrenal fatigue reflects legitimate hormone imbalances seen in advanced lab testing. We treat it seriously with proven results.

Yes. With personalized integrative care, most patients experience dramatic improvements in 3–6 months.

Not always. Many cases resolve with temporary support through herbs, nutrients, and lifestyle changes. Hormones are used conservatively and reassessed regularly.

Burnout is often emotional; adrenal fatigue includes physiological hormone shifts—especially in cortisol and DHEA.

Absolutely. Chronic stress affects immunity, digestion, mood, and metabolism. Adrenal fatigue is the body’s way of saying “enough.”

 We are an out-of-network provider but provide superbills for possible reimbursement. Some lab tests may be partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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